Organization
FREEDOM PEDIATRIC THERAPY LLC
Active
Organization
FREEDOM PEDIATRIC THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHEVA S REISNER (ADMINISTRATOR)
(732) 367-4569
Entity
Organization
Contact information
Practice address
310 2ND ST, LAKEWOOD, NJ 08701-3351
(732) 367-4569
(732) 367-3253
Mailing address
310 2ND ST, LAKEWOOD, NJ 08701-3351
(732) 367-4569
(732) 367-3253
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
01/28/2013
Last updated
01/28/2013
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